Provider Demographics
NPI:1053174748
Name:NDODE, MABEL EMADE
Entity type:Individual
Prefix:
First Name:MABEL
Middle Name:EMADE
Last Name:NDODE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7104 QUARRY CT
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-3334
Mailing Address - Country:US
Mailing Address - Phone:301-278-6186
Mailing Address - Fax:
Practice Address - Street 1:7104 QUARRY CT
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3334
Practice Address - Country:US
Practice Address - Phone:301-278-6186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide